Weslaco Nursing And Rehabilitation Center
422 E 18TH ST, Weslaco, TX, 78596
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation · Chain: Wellsential Health
- Certified beds
- 120 · avg 111 residents/day
- Total nursing staff turnover
- 27.6% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 147400
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 120 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- October 5, 2004
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Starr County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Of Weslaco Llc
- Administrator
- Leslie G Von Der Ahe
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 67 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (27 on record)
- Regency Ihs of Weslaco Llc
Adp of The Snf · since 2025
- Regency Integrated Health Services Llc
Adp of The Snf · since 2025
- Starr County Hospital District
Adp of The Snf · since 2025
- Elliot j Mandelbaum
Managing Control - Governing Body · since 2025
- Jose d Bejarano
Adp of The Snf · since 2025
- Lorena Ureste
Adp of The Snf · since 2025
+ 21 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 24)
- D0760·Nov 19, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0684·Nov 19, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0757·May 14, 2025Complaint
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D0925·May 14, 2025
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D0761·May 14, 2025
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D0656·May 14, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0641·May 14, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0578·May 14, 2025
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Weslaco Nursing And Rehabilitation Center is a 120-bed Medicare- and Medicaid-certified nursing home in Weslaco, Hidalgo County, operated by Regency IHS of Weslaco LLC under a hospital district license. CMS rates it 3 stars overall, with 4 stars on health inspections and quality measures but only 1 star on staffing. About 111 of 120 beds are occupied. No fines have been issued, and there are no active safety flags.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 197 minutes of total nursing care per day, about 44 minutes less than the daily average at a 4-star-staffing facility in Texas. The resident mix here also demands more hands-on care than a typical facility — residents are sicker or less mobile on average — so those 197 minutes stretch thinner than the raw number suggests. RN coverage in particular is low, at about 10 minutes per resident per day.
Despite the staffing rating, nursing staff turnover runs exceptionally low: roughly 3 in 10 nursing staff left in the past year. That places this facility below the state's 25th-percentile cutoff — meaning better staff retention than about three-quarters of nursing homes in Texas. The team is stable even if it is small.
One administrator has left in the past year. This is above a typical baseline and can mean disrupted routines or shifting priorities at the leadership level.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on weekends
Weekend nursing hours here average about 172 minutes per resident per day — ask how staffing is scheduled Saturday and Sunday compared to weekdays.
RN presence on a typical day
Reported RN hours work out to roughly 10 minutes per resident per day; ask how many hours a registered nurse is physically on-site each day.
New administrator's priorities
An administrator left in the past year — ask who is currently leading the facility and how long they have been in the role.
Waitlist or admission timeline
With roughly 111 of 120 beds occupied, ask whether there is a waitlist and what the typical wait is for admission.
Staffing plan for higher-need residents
The resident mix here requires more hands-on care than average — ask how care plans are adjusted when a resident's needs increase.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.